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Axatilimab (Niktimvo) is a humanized IgG4 monoclonal antibody that targets the colony-stimulating factor 1 receptor (CSF-1R). By inhibiting CSF-1R signaling, it depletes profibrotic macrophages and monocytes that drive inflammation and tissue damage in chronic graft-versus-host disease (cGVHD). The University of Miami is investigating axatilimab in combination with extracorporeal photopheresis (ECP), an immunomodulatory procedure where blood is treated with a photosensitizing agent and UVA light, to enhance therapeutic outcomes in patients with refractory cGVHD. This combination therapy aims to provide a synergistic effect by targeting different pathways of the immune-mediated fibrotic process characteristic of the disease.
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